1. Home
  2. Directory
  3. Illinois
  4. Downers Grove
  5. Dentist
  6. NPI Profile

KEVIN VANKANEGAN DDS
NPI 1124249008
Dentist in Downers Grove, IL

Active since May 01, 2007Opted out of Medicare · through Sep 22, 2027
3450 LACEY RD, DOWNERS GROVE, IL 60515(630) 515-7474(630) 515-7290 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Vankanegan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN VANKANEGAN DDS (NPI 1124249008) is an individual dentist in Downers Grove, Illinois, licensed in Illinois (019-023394) and active in the NPI registry since May 2007. He has opted out of Medicare through September 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124249008
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN VANKANEGANCredential: DDS
Location Address3450 LACEY RDDowners Grove, IL 60515-5430
Mailing Address3450 Lacey RdDowners Grove, IL 60515-5430 · (630) 515-7474 · Fax (630) 515-7290
Phone(630) 515-7474
Fax(630) 515-7290
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 29, 2013
✔ NPI 1124249008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019-023394
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3450 LACEY RD, Downers Grove, IL 60515
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Vankanegan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 22, 2015 through September 22, 2027.

Opt-Out Effective DateSeptember 22, 2015
Opt-Out In Effect ThroughSeptember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AARLAN VINCENT ACETO OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4807
BEHNAM DARVISHAN DMD
Dentist (General Practice)
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
RITA ANDREJA SINCLAIR PA-C
Physician Assistant
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-7500
DR. KIMBERLY A HUNTINGTON-ALFANO D.O.
Family Medicine
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MIDWESTERN UNIVERSITY
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
MS. KIMBERLY S HOFFER M.A., CCC-SLP
Speech-Language Pathologist
3450 LACEY RD, ALUMNI HALL 206
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
JESSICA N CONROY OD
Optometrist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
LAUREN MAXON FERGUSON CCC-SLP
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Vankanegan's NPI number?

The NPI number for Kevin Vankanegan is 1124249008. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Kevin Vankanegan located?

Kevin Vankanegan practices at 3450 Lacey Rd, Downers Grove, IL 60515. The listed phone number is (630) 515-7474.

What is Kevin Vankanegan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kevin Vankanegan enrolled in Medicare?

No. Kevin Vankanegan has opted out of Medicare through September 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Vankanegan was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.